Imray & Gesek Dmd Pa in Jacksonville - Dentist
Imray & Gesek Dmd Pa - NPI 1114065133
Imray & Gesek Dmd Pa is a Dentist in Jacksonville, Florida. Imray & Gesek Dmd Pa practices all healthcare services and medical treatments related to Dentist. The NPI Number for Imray & Gesek Dmd Pa is 1114065133. The last update date is 2020-08-22.
Imray & Gesek Dmd Pa's current location address is 2047 Park St, Jacksonville, Florida. You can contact this provider via phone number 9043887665 and fax number 9043887664. The mailing address for Imray & Gesek Dmd Pa is 2047 Park St, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Imray & Gesek Dmd Pa |
|---|---|
| Address | 2047 Park St, Jacksonville, Florida |
| Phone Number | 9043887665 |
| Fax Number | 9043887664 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Gesek James Daniel |
| Credentials | DMD |
| Telephone Number | 9043887665 |
NPI Number Detail
| NPI Number | 1114065133 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2047 Park St |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322043809 |
| Phone Number | 9043887665 |
| Fax Number | 9043887664 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN 0013575 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique provider identifier assigned to Imray & Gesek Dmd Pa?
The Imray & Gesek Dmd Pa has been issued the NPI (National Provider Identifier) 1114065133 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Imray & Gesek Dmd Pa's facilities are situated?
The facilities of Imray & Gesek Dmd Pa are physically located at the following address: 2047 Park St, Jacksonville, FL, 322043809.
What is the Imray & Gesek Dmd Pa's specialty and taxonomy code?
The Imray & Gesek Dmd Pa's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Imray & Gesek Dmd Pa receive its 1114065133 assignment from the Centers for Medicare & Medicaid Services?
The Imray & Gesek Dmd Pa was assigned its 1114065133 by the Centers for Medicare & Medicaid Services on 2007-02-02.
When was the Imray & Gesek Dmd Pa's information last updated?
The Imray & Gesek Dmd Pa's information was last updated on 2020-08-22.